Washington Greene PA Birth Announcement Submit

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OR birth


	Birth announcement Please print and complete this form. Please submit the announcement as soon as possible after the birth.
	Name of child*
	M F
	Date of birth*
	Hospital*
	Name of parents*
	Address* City State Zip Code
	Daytime Phone*
	Email
	Paternal (Father) Grandparents (if divorced or deceased, please specify)*
	Address City State Zip Code
	Maternal (Mother) Grandparents (if divorced or deceased, please specify)*
	Address City State Zip Code
	Information provided by* First Name Last Name
	Address City State Zip Code
	Phone*
	Email
	Mother's signature*
	Phone*
	Father's signature*
	Phone*
	Signature of both parents is required in writing. If the parents are not married, this form must be notarized.

Print this form

You must print this form, fill it in, and mail it to the Observer-Reporter. The announcement will be written from the information provided and printed as space permits.

Observer-Reporter
Lifestyles Department
122 S. Main St.
Washington, PA 15301

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Birth announcement